Minimally Invasive Treatment of Sporadic Burkitt’s Lymphoma Causing Ileocaecal Invagination

Panaccio, Paolo; Fiordaliso, Michele; Testa, Domenica Carmen; Mazzola, Lorenzo; Battilana, Mariangela; Cotellese, Roberto; Selvaggi, Federico

doi:10.1155/2018/6265182

Cited by 6 publications

(7 citation statements)

References 27 publications

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“…Although, no microperforation was reported, unlike our case. 3 Small bowell perforation due to BL literature is scarce, with the first reported case registered in 2021 by Takayama et al 2 As pointed by the authors, there are several articles reporting gastrointestinal perforation occurred during chemotherapy in BL, but the first case reporting intestinal perforation due to BL was by Takayama's team. A midline laparotomy approach was used.…”

Section: Discussionmentioning

confidence: 99%

“…2 BL stands for 9% of the cases of primary small intestine lymphoma and clinical presentations includes intestinal obstruction or intussusception, small bowel perforation or as an incidental finding. [1][2][3][4][5][6][7] We presented a case of intestinal obstruction by the form of ileum to cecum intussusception secondary to a Burkitt's lymphoma in a middle-aged man with signs of microperforation. platelet count.…”

Section: Introductionmentioning

confidence: 99%

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Adult Burkitt's lymphoma presenting as ileocecal intussusception

Ferreira

Clara²,

Pais³

et al. 2023

Int Surg J

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Most lymphomas of gastrointestinal tract arise mainly in stomach but can affect small bowel. Burkitt’s lymphoma stands for 9% of the cases of primary small intestine lymphoma and clinical presentations may vary. Case report of a 58-years old man presenting an acute abdomen secondary to intestinal obstruction with tomography revealing an ileocecal mass suspicious for intussusception. Surgery was performed and an invaginating mass from ileum-to-cecum lead to a laparoscopic right colectomy. Histopathological analysis established the diagnosis of ileocecal Burkitt’s lymphoma. Post-operative period was uneventful and the patient was referred to oncohematology and started early chemotherapy. Clinical situations of intestinal intussusception or small-bowel masses presenting with obstruction should rise the suspicion for malignancy and the surgeon must be aware of this clinical entity to proceed with an oncologically safe surgery. Intestinal perforation may indicates surgery as it leads to peritoneal tumor spread and indicates a worse prognosis. Laparoscopic surgery approaches must be seriously considered in selected cases. In intestinal lymphoma, early refer to oncohematology for evaluation and treatment is essential and establishes a better prognosis.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Adult Burkitt's lymphoma presenting as ileocecal intussusception

Ferreira

Clara²,

Pais³

et al. 2023

Int Surg J

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“…The prognosis of patients with BL has significantly changed with the advent of short, intensive chemotherapy. Several agents, including bleomycin, cyclophosphamide, vincristine, doxorubicin, and highdose methotrexate, provide excellent response rates [11] achieving a complete response rate of 85%, with a five-year disease-free survival rate of 60% [5,9,10,12].…”

Section: Discussionmentioning

confidence: 99%

Burkitt’s Lymphoma of the Colon: A Case Report and Review of the Texas Cancer Registry

Sato¹,

Hock²,

Garcia³

et al. 2022

Cureus

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Burkitt's lymphoma (BL) is an aggressive form of non-Hodgkin's B-cell lymphoma with gastrointestinal (GI) involvement, but very few cases report primary colonic findings. We report one case of primary sporadic BL of the colon with non-specific GI symptoms, and its morphologic and immunohistochemical features. In addition, we reviewed and analyzed data from the Texas Cancer Registry between the years 1995 and 2016 in order to provide insight into the demography and epidemiology of BL originating in the colon.This paper reports a 69-year-old male who presented with a history of irritable bowel syndrome, was diagnosed with BL in the colon, and subsequently developed abdominal compartment syndrome. Biopsies derived from the colon tumor at three different sites showed infiltrating malignant lymphoma of the lamina propria. Immunohistochemistry stains of lymphoma cells were positive for CD20, CD79a, CD10, MUM1, BCL6, C-MYC, and negative for BCL2, cyclin D1, CD5, and CD3. Ki-67 demonstrated a high proliferative index of 100%. Forty-nine cases of primary BL of the colon were reported to the Texas Cancer Registry between 1995 and 2016. The unadjusted incidence of BL originating in the colon in persons 18 years old and over was 1.32 per 10 million, and the majority of the cases involved non-Hispanic white males with cecum being the most common primary site. BL is a rapidly growing malignancy, hence, reporting cases of BL and its presenting symptoms can improve assessment and management. Our analysis from the Texas Cancer Registry further supports the rarity of primary sporadic BL in the colon.

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“…A wide variety of factors might play a role in intestinal invaginations; The most important cause of intestinal invaginations in adults is malignancies [1,3,4,[6][7][8][9][10][11][12]. It has also been reported that the etiologic reason is malignancy, especially in colonic invaginations [13].…”

Section: Mini-review Articlementioning

confidence: 99%

“…In a similar study by Kaemmerer et al, it was reported that adenovirus infections cause CD3 positive lymphocyte infiltration, which causes enlargement of Peyer's patches and mesenteric lymph nodes due to inflammatory neuropathy in the mesenteric plexus, which is the cause of ileocecal invaginations [5]. Some cases are etiologically less common in adults, including intraluminal lipoma in the ileum [15][16][17], endometriosis in the appendix and ileum [18], inflammatory fibroid polyp (Vanek tumor) [19,20], due to colonoscopy [21], Meckel's diverticulum [22], intestinal tuberculosis [4], transmural diffuse large B cell lymphoma infiltration [23], idiopathic [24], submucosal colonic lipoma [2,25], Chron's disease [26], leiomyoma in the ileum [27], Burkitt lymphoma [28], cases of induced intestinal invagination have been reported.…”

Section: Mini-review Articlementioning

confidence: 99%

Intestinal Invaginations in Adults

Acar

Akalın

2022

JPRI

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Intestinal invaginations in adults are rare phenomenon . The most critical etiological causes are malignancies. The most common symptoms are abdominal pain, nausea, vomiting, inability to pass flatus and defecation, and distention in the abdomen due to intestinal obstruction. On physical examination, abdominal distention, decreased bowel sounds and sometimes a mass may be palpable on deep palpation. In direct radiography, air-liquid levels can be seen. A mass can be detected in the invagination area on ultrasonography. Definitive diagnosis is usually made by computerized tomography. Treatment of intestinal invaginations in adults is usually surgery. It can be done by laparoscopic or open surgery. As a result, we think that when a definitive diagnosis is made in adults, intestinal invagination should be treated surgically under oncological principles since the etiological factor is mostly malignancy.

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Minimally Invasive Treatment of Sporadic Burkitt’s Lymphoma Causing Ileocaecal Invagination

Cited by 6 publications

References 27 publications

Adult Burkitt's lymphoma presenting as ileocecal intussusception

Adult Burkitt's lymphoma presenting as ileocecal intussusception

Burkitt’s Lymphoma of the Colon: A Case Report and Review of the Texas Cancer Registry

Intestinal Invaginations in Adults

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